A new marker to determine prognosis of acute pancreatitis: PLR and NLR combination
Background: We aimed to investigate the prognostic importance of platelet-lymphocyte ratio (PLR) and neutrophil-lymphocyte ratio(NLR) combination for patients diagnosed with acute pancreatitis and its relationship with mortality. Methods: This retrospective study was included 142 patients diagnosed...
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| Format: | Article |
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Society of Medical Biochemists of Serbia, Belgrade
2018-01-01
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| Series: | Journal of Medical Biochemistry |
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| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2018/1452-82581801021K.pdf |
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| author | Kaplan Mustafa Ates Ihsan Oztas Erkin Yuksel Mahmut Yener-Akpinar Muhammed Coskun Orhan Kayacetin Ertugrul |
| author_facet | Kaplan Mustafa Ates Ihsan Oztas Erkin Yuksel Mahmut Yener-Akpinar Muhammed Coskun Orhan Kayacetin Ertugrul |
| author_sort | Kaplan Mustafa |
| collection | DOAJ |
| description | Background: We aimed to investigate the prognostic importance of platelet-lymphocyte ratio (PLR) and neutrophil-lymphocyte ratio(NLR) combination for patients diagnosed with acute pancreatitis and its relationship with mortality. Methods: This retrospective study was included 142 patients diagnosed with acute pancreatitis. Ranson, Atlanta and BISAP 0h, 24h and 48h scores of the patients were calculated by examining their patient files. The patients were divided into three groups as low-risk, medium-risk and high-risk patients according to their PLR and NLR levels. Results: The number of patients with acute pancreatitis complications such as necrotizing pancreatitis, acute renal failure, sepsis and cholangitis was significantly higher in the high-risk group compared to other groups. Mortality rate was found to be 90% in the high-risk group, 16% in the medium-risk group, and 1.9% in the low-risk group. The number of patients with a Ranson score of 5 and 6, a severe Atlanta score, a BISAP 0h score of 3 and 4, a BISAP 24h and 48h score of 4 and 5 was higher in the high-risk group compared to other groups. PLR-NLR combination, Atlanta and Ranson scores, and C-reactive protein level were determined to be independent risk factors predicting mortality in stepwise regression model. PLR-NLR combination had the highest area under curve value in terms of predicting acute pancreatitis prognosis and had a similar diagnostic discrimination with other scoring systems. Conclusions: In our study it was found that PLR-NLR combination had a similar prognostic importance with other scoring systems used to determine acute pancreatitis prognosis. |
| first_indexed | 2024-12-20T21:28:02Z |
| format | Article |
| id | doaj.art-1b48a5ef607045f48b7b8fde0d236292 |
| institution | Directory Open Access Journal |
| issn | 1452-8258 1452-8266 |
| language | English |
| last_indexed | 2024-12-20T21:28:02Z |
| publishDate | 2018-01-01 |
| publisher | Society of Medical Biochemists of Serbia, Belgrade |
| record_format | Article |
| series | Journal of Medical Biochemistry |
| spelling | doaj.art-1b48a5ef607045f48b7b8fde0d2362922022-12-21T19:26:07ZengSociety of Medical Biochemists of Serbia, BelgradeJournal of Medical Biochemistry1452-82581452-82662018-01-0137121301452-82581801021KA new marker to determine prognosis of acute pancreatitis: PLR and NLR combinationKaplan Mustafa0Ates Ihsan1Oztas Erkin2Yuksel Mahmut3Yener-Akpinar Muhammed4Coskun Orhan5Kayacetin Ertugrul6Turkey Yuksek Ihtisas Training and Research Hospital, Department of Gastroenterology, Ankara, TurkeyAnkara Numune Training and Research Hospital, Department of Internal Medicine, Ankara, TurkeyTurkey Yuksek Ihtisas Training and Research Hospital, Department of Gastroenterology, Ankara, TurkeyTurkey Yuksek Ihtisas Training and Research Hospital, Department of Gastroenterology, Ankara, TurkeyTurkey Yuksek Ihtisas Training and Research Hospital, Department of Gastroenterology, Ankara, TurkeyTurkey Yuksek Ihtisas Training and Research Hospital, Department of Gastroenterology, Ankara, TurkeyTurkey Yuksek Ihtisas Training and Research Hospital, Department of Gastroenterology, Ankara, TurkeyBackground: We aimed to investigate the prognostic importance of platelet-lymphocyte ratio (PLR) and neutrophil-lymphocyte ratio(NLR) combination for patients diagnosed with acute pancreatitis and its relationship with mortality. Methods: This retrospective study was included 142 patients diagnosed with acute pancreatitis. Ranson, Atlanta and BISAP 0h, 24h and 48h scores of the patients were calculated by examining their patient files. The patients were divided into three groups as low-risk, medium-risk and high-risk patients according to their PLR and NLR levels. Results: The number of patients with acute pancreatitis complications such as necrotizing pancreatitis, acute renal failure, sepsis and cholangitis was significantly higher in the high-risk group compared to other groups. Mortality rate was found to be 90% in the high-risk group, 16% in the medium-risk group, and 1.9% in the low-risk group. The number of patients with a Ranson score of 5 and 6, a severe Atlanta score, a BISAP 0h score of 3 and 4, a BISAP 24h and 48h score of 4 and 5 was higher in the high-risk group compared to other groups. PLR-NLR combination, Atlanta and Ranson scores, and C-reactive protein level were determined to be independent risk factors predicting mortality in stepwise regression model. PLR-NLR combination had the highest area under curve value in terms of predicting acute pancreatitis prognosis and had a similar diagnostic discrimination with other scoring systems. Conclusions: In our study it was found that PLR-NLR combination had a similar prognostic importance with other scoring systems used to determine acute pancreatitis prognosis.https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2018/1452-82581801021K.pdfatlanta classificationbisap scorenecrotizing pancreatitisranson score |
| spellingShingle | Kaplan Mustafa Ates Ihsan Oztas Erkin Yuksel Mahmut Yener-Akpinar Muhammed Coskun Orhan Kayacetin Ertugrul A new marker to determine prognosis of acute pancreatitis: PLR and NLR combination Journal of Medical Biochemistry atlanta classification bisap score necrotizing pancreatitis ranson score |
| title | A new marker to determine prognosis of acute pancreatitis: PLR and NLR combination |
| title_full | A new marker to determine prognosis of acute pancreatitis: PLR and NLR combination |
| title_fullStr | A new marker to determine prognosis of acute pancreatitis: PLR and NLR combination |
| title_full_unstemmed | A new marker to determine prognosis of acute pancreatitis: PLR and NLR combination |
| title_short | A new marker to determine prognosis of acute pancreatitis: PLR and NLR combination |
| title_sort | new marker to determine prognosis of acute pancreatitis plr and nlr combination |
| topic | atlanta classification bisap score necrotizing pancreatitis ranson score |
| url | https://scindeks-clanci.ceon.rs/data/pdf/1452-8258/2018/1452-82581801021K.pdf |
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